Ascitis grave en varón joven: hay causas malignas rápidamente mortales

Abstract

A 37-year-old male attended the emergency room with abdominal distension. He was found to have ascites with a periduodenal mass, peritoneal infiltration and mesenteric venous thrombosis. He also presented with sudden binocular diplopia. He was diagnosed within 48h with sporadic abdominal Burkitt's lymphoma with brain involvement and was treated with chemotherapy, Burkimab-13 protocol. He achieved a complete remission after three months, and has remained in remission two years after diagnosis. It is critical to suspect this lymphoma quickly since the tumor doubles daily in size and is fatal if left untreated, whereas survival reaches 65-95% with chemotherapy.Varón de 37 años que acude a Urgencias por distensión abdominal. Se constata la evidencia de ascitis con masa periduodenal, infiltración peritoneal y trombosis venosa mesentérica. Es diagnosticado en 48 horas de un linfoma de Burkitt esporádico abdominal con afectación cerebral y tratado con quimioterapia, protocolo Burkimab-13. Presenta remisión completa a los 3 meses, que permanece a los dos años del diagnóstico. Es vital sospechar con rapidez esta entidad puesto que el tamaño del tumor se duplica diariamente; sin trata- miento es mortal mientras que, con quimioterapia, la supervivencia alcanza el 65-95%